Clinic
Paradigm Physical Therapy and Wellness INC
Paradigm Physical Therapy and Wellness INC was paid $5.73M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 64% of everything it billed.
33Billing provider infoPARADIGM PHYSICAL THERAPY AND WELLNESS INC
LOS LUNAS, NM 87031
LOS LUNAS, NM 87031
33aNPI1386651412assigned 08/02/2006
33bProvider typePhysical Therapy Clinic/Center
28Total paid$5.73M
24GClaims114,461
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physical Therapy Clinic/Center providers in New Mexico
Rank by total paid#2 of 32
Median peer was paid$393K
This provider vs. median15×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,440 | $872K | |
| 2019 | 16,558 | $926K | |
| 2020 | 8,820 | $524K | |
| 2021 | 15,525 | $784K | |
| 2022 | 14,406 | $634K | |
| 2023 | 20,182 | $873K | |
| 2024incomplete | 23,530 | $1.12M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 64% | 63,021 | 21,253 | $3.67M |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 18% | 30,181 | 14,555 | $1.03M |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 11% | 12,525 | 5,605 | $637K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 5.7% | 6,293 | 3,072 | $324K |
| 97162 | <1% | 901 | 890 | $40K | |
| 97161 | <1% | 663 | 654 | $20K | |
| 97164 | <1% | 627 | 591 | $7K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 207 | 172 | $6K |
| S9999 | Sales tax | <1% | 43 | 12 | $271.44 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSANCHEZ, DONALD (PRESIDENT/OWNER)
Parent organizationPARADIGM PHYSICAL THERAPY AND WELLNESS INC